MSFinals-3071
A 40-year-old man presents with wrist drop in his right hand. Upon examination, a small region of sensory loss is noted on the back of his hand. Which nerve is most likely affected?
Archives: Medical Student Finals
MSFinals-3072
A 35-year-old male complains of weakness in his right hand. He was diagnosed with type 1 diabetes 5 years ago and has been in good health otherwise. He has noticed over the past week that he is unable to raise his right hand at the wrist without any pain. Upon examination, a right-sided wrist drop is observed. Which nerve is being affected?
MSFinals-3073
A 6-year-old boy who has recently been diagnosed with Duchenne muscular dystrophy (DMD) is seen in a specialist clinic with his mother. She asks the doctor if there is a treatment to slow the progression of the disease.
Which treatment slows the progression of muscle weakness in DMD?
MSFinals-3074
What is the type of cell that utilizes its Ciliary to assist in the movement of cerebrospinal fluid throughout the central nervous system of vertebrates?
MSFinals-3075
A 60-year-old man is brought to the Emergency Department by his wife due to sudden onset of incoherent speech. Upon physical examination, he exhibits right-sided weakness in the upper and lower extremities, a right facial droop, and a loss of sensation in the upper and lower extremities. An initial CT scan of the head reveals no acute changes, and treatment with tissue plasminogen activator is initiated. Which arterial territory is most likely affected by this neurological event?
MSFinals-3076
A 35-year-old man presents with daily severe headaches which come on over a few minutes and typically last 1 hour. This has been happening for the last 2 weeks. The pain is retro-orbital. The pain is lancinating in nature and associated with lacrimation and rhinorrhoea.
What is the most likely diagnosis?
MSFinals-3077
A 35-year-old man complains of severe headaches behind his right eye that last for 1-2 hours at a time. These headaches can occur daily for up to 6 weeks, but then he can go for months without experiencing one. He also experiences eye redness and runny nose alongside his headaches. Despite trying paracetamol and tramadol prescribed by another doctor, he has not found any relief. The pain is so intense that he cannot sleep and if he gets a headache during the day, he is unable to work or socialize. What is the most probable diagnosis?
MSFinals-3078
An 80-year-old man is admitted to hospital after suddenly losing all sensation to his right leg and right arm. He has no loss of consciousness, no visual disturbances, no slurring of speech and no motor symptoms. A stroke is suspected.
Based on the findings, what type of stroke is most likely?
MSFinals-3079
A woman presents to Accident and Emergency with a decreased level of consciousness. Her conscious state is formally assessed. She withdraws to a painful stimulus and is mumbling incoherent words randomly, irrespective of people attempting to speak to her in conversation, and her eyes open only in response to painful stimuli.
What is the breakdown of this patient’s Glasgow Coma Scale (GCS) score?
MSFinals-3080
An 80-year-old man comes to the Neurology Clinic complaining of increasing dysphagia. You observe that he is having some trouble speaking, and upon further inquiry, he reveals that this has also been worsening over time. He reports no issues with chewing. During the examination, you note that he has a missing gag reflex and displays tongue atrophy and fasciculations.
What would be the best course of action for managing this patient?